Social Worker-Patient Aligned Care Team

The Clinical Social Worker Patient Aligned Care Team (PACT) is assigned to the St. Cloud Veteran Affairs Health Care System Primary and Specialty Medicine Integrated Clinical Community (PSM ICC). The incumbent plays a critical role in the Veterans Health Administration health care program, contributing to service delivery for Veterans and their families.

VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU Total Rewards of a Allied Health Professional CLINICIAL FUNCTIONS: A. Conducting behavioral health and mental health biopsychosocial assessments. B. Making sound professional judgments regarding clinical impressions, treatment approaches, and treatment/care planning. C. Coordinating with internal and external professionals to ensure appropriate transitions of care and appropriate/ necessary treatment is provided/offered to Veterans D. Establishing and maintaining knowledge of VA and Veteran's benefits and services, community resources, and process for making appropriate referrals to community and other governmental programs or agencies. E. Providing advocacy to overcome potential barriers to access care/services and when it is in the best interests of the Veteran. F. Provides goals of care discussions, as well as education and assist in the completion of Advance Directives; Organ, Tissue, and Eye Donation release of information forms; and Guardianship documentation. G. Assesses for signs and symptoms of abuse, neglect and exploitation. H. Conducts practice in accordance with the VA and discipline specific ethical requirements and practices within the limits of current licensure or certification. I. Completing on-call duties, as assigned and per policy, which may include transportation of a Veteran. ADMINISTRATIVE FUNCTIONS A. Possesses and demonstrates ability to communicate effectively, both orally and in writing with people from varied backgrounds. B. Possesses skills in using computer systems and the internet for Veterans who choose this modality to communicate. C. Serves on supervisor approved committees, work groups, and task forces at the local facility, VISN or national level. Collaborates in performance improvement processes and complies with performance measures as required by the VA for specific population/program. D. Attends and participates in all required administrative and clinical meetings. E. Maintains accurate, timely, and complete clinical records in accordance with professional practice and VA administration guidelines. F. Maintains data and statistical compilations to comply with accreditation bodies such as CARF and Joint Commission, and VA health care systems policies and procedures. G. Participates in Social Work Professional Practice Evaluation processes. H. Performs other duties as assigned and can, at times, assist other incumbents or perform special assignments to meet the needs of the healthcare system. The incumbent may be assigned to other areas of need in the health care system, as determined necessary by the direct supervisor and/or the Integrated Care Community (ICC) Director in consultation with the Social Work Executive ROLE-SPECIFIC TASKS A. Independently treat Veterans and their families who are experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, financial, legal and psychosocial problems. Effective social work in the PACT context often occurs over a series of several visits. B. The incumbent is able to assess functional acuity of the Veteran and provide appropriate interventions, including psychosocial treatment, supportive therapy, including brief individual, group, and family therapy, and case management. The incumbent must be able to utilize this assessment in facilitating the Veteran's maximum use of treatment for attainment of the highest level of independence that is possible and practicable. C. Ability to coordinate efforts for community placements by working closely with Veterans, their families, and interdisciplinary treatment teams to ensure that suitable community placements are completed efficiently. Community placements may include, but are not limited to, group and family care homes, assisted living facilities, adult day health care programs, contract nursing homes, Community Living Centers, residential care homes, and both inpatient and outpatient hospice services. D. Conduct Virtual Visits in modalities preferred by patients and utilize Consult Toolbox functions Work Schedule: Monday-Friday 8am-4:30pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized

You must be a U.S. Citizen to apply for this job. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment driving physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. Drivers License Requirement: Unrestricted drivers license is required. Must provide a clean driving record report from the DMV during onboarding. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

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